Apply for Life-Changing Surgery
Ready to complete your transformation journey? We're here to help you access the skin removal surgery you need to fully embrace your new, healthier life.
Application Form
Please fill out all required fields marked with *
Personal Information
Surgery Information
Video Submission *
Please submit a 30-60 second video sharing your story, transformation, and anything else we should know.
If you have a transformation video on social media, feel free to share it here
Application Process
1
Submit Application
Complete and submit this form with your video
2
Review Process
Our team reviews all applications carefully
3
Selection & Contact
Selected applicants will be contacted for next steps
4
Surgery Planning
Work with our surgeon to plan your procedure
Eligibility Requirements
- Must be 18 years or older
- Completed significant weight loss journey
- Weight stable for at least 6 months
- Medically cleared for surgery
- Demonstrates financial need
Questions?
If you have any questions about the application process or eligibility requirements, please don't hesitate to reach out.